JP7072751B2 - 血管痙縮の予防及び治療のためのデバイス及び方法 - Google Patents

血管痙縮の予防及び治療のためのデバイス及び方法 Download PDF

Info

Publication number
JP7072751B2
JP7072751B2 JP2019512651A JP2019512651A JP7072751B2 JP 7072751 B2 JP7072751 B2 JP 7072751B2 JP 2019512651 A JP2019512651 A JP 2019512651A JP 2019512651 A JP2019512651 A JP 2019512651A JP 7072751 B2 JP7072751 B2 JP 7072751B2
Authority
JP
Japan
Prior art keywords
stent structure
blood vessel
electrical
electrodes
struts
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2019512651A
Other languages
English (en)
Japanese (ja)
Other versions
JP2019531118A (ja
JP2019531118A5 (enExample
Inventor
ヘンケス，ハンス
ハンネス，ラルフ
モンシュタット，ヘルマン
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Femtos GmbH
Original Assignee
Femtos GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Femtos GmbH filed Critical Femtos GmbH
Publication of JP2019531118A publication Critical patent/JP2019531118A/ja
Publication of JP2019531118A5 publication Critical patent/JP2019531118A5/ja
Application granted granted Critical
Publication of JP7072751B2 publication Critical patent/JP7072751B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0526—Head electrodes
    • A61N1/0529—Electrodes for brain stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia
    • A61N7/022—Localised ultrasound hyperthermia intracavitary
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00321—Head or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A61B2018/00416—Treatment of aneurisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434—Neural system
    • A61B2018/00446—Brain
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1435—Spiral
    • A61B2018/1437—Spiral whereby the windings of the spiral touch each other such as to create a continuous surface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0004—Applications of ultrasound therapy
    • A61N2007/0021—Neural system treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N2007/0004—Applications of ultrasound therapy
    • A61N2007/0021—Neural system treatment
    • A61N2007/003—Destruction of nerve tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Psychology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)
  • Electrotherapy Devices (AREA)
  • Prostheses (AREA)
JP2019512651A 2016-09-08 2017-09-07 血管痙縮の予防及び治療のためのデバイス及び方法 Active JP7072751B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE102016116871.8A DE102016116871A1 (de) 2016-09-08 2016-09-08 Vorrichtung und Verfahren zur Vorbeugung und Behandlung eines Vasospasmus
DE102016116871.8 2016-09-08
PCT/EP2017/072451 WO2018046592A1 (de) 2016-09-08 2017-09-07 Vorrichtung und verfahren zur vorbeugung und behandlung eines vasospasmus

Publications (3)

Publication Number Publication Date
JP2019531118A JP2019531118A (ja) 2019-10-31
JP2019531118A5 JP2019531118A5 (enExample) 2020-10-15
JP7072751B2 true JP7072751B2 (ja) 2022-05-23

Family

ID=59997306

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019512651A Active JP7072751B2 (ja) 2016-09-08 2017-09-07 血管痙縮の予防及び治療のためのデバイス及び方法

Country Status (11)

Country Link
US (2) US20200129228A1 (enExample)
EP (1) EP3509521B1 (enExample)
JP (1) JP7072751B2 (enExample)
KR (1) KR20190053871A (enExample)
CN (1) CN109952068B (enExample)
AU (1) AU2017324399B2 (enExample)
BR (1) BR112019004503A8 (enExample)
CA (1) CA3035865A1 (enExample)
DE (1) DE102016116871A1 (enExample)
ES (1) ES2846007T3 (enExample)
WO (1) WO2018046592A1 (enExample)

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DK3474760T3 (da) 2016-06-27 2023-03-20 Galvanize Therapeutics Inc Generator og et kateter med en elektrode til at behandle en lungepassage
JP7267567B2 (ja) * 2018-10-31 2023-05-02 ユニチカ株式会社 低誘電率ポリイミド
CN115348844A (zh) 2020-04-08 2022-11-15 盖能适治疗股份有限公司 脉冲电场波形操作和使用
US20240099866A1 (en) 2021-01-26 2024-03-28 Phenox Gmbh Coated Medical Devices
DE102021102458A1 (de) 2021-01-26 2022-07-28 Phenox Gmbh Beschichtete medizinische Vorrichtungen
CA3222846A1 (en) * 2021-06-10 2022-12-15 Galvanize Therapeutics, Inc. Applying pulsed electric fields in the treatment of the vasculature
CN119486670A (zh) * 2022-04-25 2025-02-18 格拉维蒂医疗技术有限公司 用于评价和治疗病变脉管的方法和装置
CN117731943A (zh) * 2022-04-29 2024-03-22 深圳市应和脑科学有限公司 血管内支架电极阵列及其制备方法和电刺激系统
DE102022114767A1 (de) 2022-06-13 2023-12-14 Phenox Gmbh Endovaskuläre Vorrichtung mit Führungsdraht
WO2024018367A1 (en) 2022-07-22 2024-01-25 Phenox Gmbh Apparatus and method for treating vasospasm
WO2024197304A2 (en) * 2023-03-23 2024-09-26 The Regents Of The University Of California Advanced function stent system for chronic on-demand drug delivery, sonogenetic control of cells, and acoustic modulation of cell function

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070142879A1 (en) 2005-12-20 2007-06-21 The Cleveland Clinic Foundation Apparatus and method for modulating the baroreflex system
JP2007535984A (ja) 2004-05-06 2007-12-13 ボストン サイエンティフィック リミテッド 血管内自定式電極本体
US20100023088A1 (en) 2008-03-27 2010-01-28 Stack Richard S System and method for transvascularly stimulating contents of the carotid sheath
JP2010516384A (ja) 2007-01-30 2010-05-20 カーディアック ペースメイカーズ， インコーポレイテッド 二重らせんリード構成
JP2013529109A (ja) 2010-05-12 2013-07-18 シファメド・ホールディングス・エルエルシー 低い外形の電極組立体
US20130231658A1 (en) 2012-03-01 2013-09-05 Boston Scientific Scimed, Inc. Expandable ablation device and methods for nerve modulation
US20140180307A1 (en) 2011-08-02 2014-06-26 Alon Shalev Electrostimulation in treating cerebrovascular conditions
US20150018818A1 (en) 2013-07-11 2015-01-15 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08507243A (ja) * 1993-07-23 1996-08-06 クック インコーポレイティッド シート材料から形成されたパターンを有するフレキシブルなステント
US6602248B1 (en) * 1995-06-07 2003-08-05 Arthro Care Corp. Methods for repairing damaged intervertebral discs
JP2002515793A (ja) * 1996-10-23 2002-05-28 オーレイテック インターヴェンションズ インコーポレイテッド 椎間円板を治療するための方法及び装置
US7198635B2 (en) * 2000-10-17 2007-04-03 Asthmatx, Inc. Modification of airways by application of energy
US20030158545A1 (en) * 2000-09-28 2003-08-21 Arthrocare Corporation Methods and apparatus for treating back pain
US7653438B2 (en) * 2002-04-08 2010-01-26 Ardian, Inc. Methods and apparatus for renal neuromodulation
US8774913B2 (en) * 2002-04-08 2014-07-08 Medtronic Ardian Luxembourg S.A.R.L. Methods and apparatus for intravasculary-induced neuromodulation
US9339331B2 (en) * 2008-12-29 2016-05-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Non-contact electrode basket catheters with irrigation
US9408661B2 (en) * 2010-07-30 2016-08-09 Patrick A. Haverkost RF electrodes on multiple flexible wires for renal nerve ablation
EP2608840B1 (de) * 2010-08-26 2017-10-25 Acandis GmbH & Co. KG Elektrode für medizinische anwendungen, system mit einer elektrode und verfahren zur herstellung einer elektrode
JP6046631B2 (ja) * 2010-11-19 2016-12-21 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 腎神経の検出切除装置
EP2651500B1 (en) * 2010-12-15 2016-07-20 MED-EL Elektromedizinische Geräte GmbH Multichannel cylindrical electrode for nerve stimulation and recording
CN203122581U (zh) * 2011-08-26 2013-08-14 王捷 具有肾神经标测功能的导管
US8612022B1 (en) * 2012-09-13 2013-12-17 Invatec S.P.A. Neuromodulation catheters and associated systems and methods
EP2732784A1 (de) * 2012-11-20 2014-05-21 Biotronik AG Hochfrequenz-Applikationsvorrichtung zum vaskulären Einsatz, insbesondere zur Applikation von Hochfrequenz-Energie an der Renal-Arterienwand
AU2014268737A1 (en) * 2013-05-20 2015-12-03 Mayo Foundation For Medical Education And Research Devices and methods for ablation of tissue
US9204929B2 (en) * 2013-09-16 2015-12-08 Biosense Webster (Israel) Ltd. Basket catheter with deflectable spine
US20150105772A1 (en) * 2013-10-14 2015-04-16 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation
CN103750898B (zh) * 2014-01-07 2016-02-17 先健科技(深圳)有限公司 一种腔内消融导管
DE102014101348B4 (de) * 2014-02-04 2023-04-20 Acquandas GmbH Medizinische Vorrichtung zur Ablation von Gewebezellen und System mit einer derartigen Vorrichtung
US9820664B2 (en) * 2014-11-20 2017-11-21 Biosense Webster (Israel) Ltd. Catheter with high density electrode spine array

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007535984A (ja) 2004-05-06 2007-12-13 ボストン サイエンティフィック リミテッド 血管内自定式電極本体
US20070142879A1 (en) 2005-12-20 2007-06-21 The Cleveland Clinic Foundation Apparatus and method for modulating the baroreflex system
JP2010516384A (ja) 2007-01-30 2010-05-20 カーディアック ペースメイカーズ， インコーポレイテッド 二重らせんリード構成
US20100023088A1 (en) 2008-03-27 2010-01-28 Stack Richard S System and method for transvascularly stimulating contents of the carotid sheath
JP2013529109A (ja) 2010-05-12 2013-07-18 シファメド・ホールディングス・エルエルシー 低い外形の電極組立体
US20140180307A1 (en) 2011-08-02 2014-06-26 Alon Shalev Electrostimulation in treating cerebrovascular conditions
US20130231658A1 (en) 2012-03-01 2013-09-05 Boston Scientific Scimed, Inc. Expandable ablation device and methods for nerve modulation
US20150018818A1 (en) 2013-07-11 2015-01-15 Boston Scientific Scimed, Inc. Devices and methods for nerve modulation

Also Published As

Publication number Publication date
AU2017324399B2 (en) 2022-04-07
ES2846007T3 (es) 2021-07-28
KR20190053871A (ko) 2019-05-20
EP3509521A1 (de) 2019-07-17
EP3509521B1 (de) 2020-11-04
CA3035865A1 (en) 2018-03-15
BR112019004503A8 (pt) 2023-03-21
WO2018046592A1 (de) 2018-03-15
JP2019531118A (ja) 2019-10-31
US20250204981A1 (en) 2025-06-26
CN109952068B (zh) 2022-08-09
AU2017324399A1 (en) 2019-05-02
DE102016116871A1 (de) 2018-03-08
US20200129228A1 (en) 2020-04-30
CN109952068A (zh) 2019-06-28
BR112019004503A2 (pt) 2019-05-28

Similar Documents

Publication Publication Date Title
US20250204981A1 (en) Device and method for preventing and treating a vasospasm
US20260108742A1 (en) Devices and methods for treating cardiovascular and metabolic disease
US20230310073A1 (en) Shock wave balloon catheter with multiple shock wave sources
JP6878483B2 (ja) 体内通路を通る流体の流れを提供又は維持する方法及びシステム
ES2407329T3 (es) Sistema para inducir efectos de temperatura deseables sobre un tejido corporal
CN120603540A (zh) 具有可移动发射器的血管内碎石术导管
AU2014201467B2 (en) Catheter adapted for use with guide wire for accessing vessels
US20180228537A1 (en) Medical device comprising a balloon-stent assembly and methods of using the same
JP7056935B2 (ja) 血管痙縮の治療
WO2012149167A2 (en) Method and device for treatment of hypertension and other maladies
TW201221165A (en) Catheter apparatuses having expandable mesh structures for renal neuromodulation and associated systems and methods
JP2008540006A (ja) 心臓拍動調節系における障害の治療のための双安定性装置、キットおよび方法
US20180055563A1 (en) Solutions For Early Diagnoses, Prevention And Treatment Of Endometriosis
US20260007867A1 (en) Cerebrospinal fluid shunt devices and methods
US20180154123A1 (en) Implants and systems for electrically isolating one or more pulminary veins
AU2022287931A1 (en) Applying pulsed electric fields in the treatment of the vasculature
US11033294B2 (en) Method of treatment for aortic dissection
US11826089B2 (en) Compression stent device and methods
US20230285174A1 (en) Medical device comprising a balloon-stent assembly and methods of using the same
US20260069297A1 (en) Shock wave catheter and shock wave catheter system
CN119183370A (zh) 用于治疗高血压的主动脉弓压力感受器植入物

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20200901

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20200901

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20210721

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20210802

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20211021

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20220203

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20220307

A711 Notification of change in applicant

Free format text: JAPANESE INTERMEDIATE CODE: A711

Effective date: 20220308

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20220308

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A821

Effective date: 20220308

R150 Certificate of patent or registration of utility model

Ref document number: 7072751

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250